Active NPI
Isaac J Kobzeff, CRNA
- Certified Registered Nurse Anesthetist
- Silverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 200560008
- Practice address
- 342 Fairview St
Silverton, OR 97381 - Phone
- (503) 873-1500
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 200560008 | OR | Primary |
Addresses
Primary practice location
342 Fairview St
Silverton, OR 97381
Mailing address
5319 SW Westgate Dr
241
Portland, OR 97221-2432
Phone (503) 297-7223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807251011 | Other | OR | REGENCE BCBSO |
| 269650 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200560008 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noble Dreams Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Oregon LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Kobzeff Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients |
Locations
2525 12th St SE
Ste 110
Salem, OR 97302
Phone (503) 364-3704
1460 Commercial St SE
Salem, OR 97302
Phone (503) 364-5033
3099 River Rd S
Ste 100
Salem, OR 97302
Phone (503) 361-3094
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Lake Oswego, OR
- NPI 1003538455
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Salem, OR
- NPI 1750889804
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Salem, OR
- NPI 1487539771
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Multi-Specialty Clinic/Center
- Silverton, OR
- NPI 1215274360
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1851338263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 SW WESTGATE DR",
"address_2": "241",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212432",
"telephone_number": "503-297-7223",
"fax_number": "503-297-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "97381",
"telephone_number": "503-873-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBZEFF",
"first_name": "ISAAC",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "200560008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBSO",
"identifier": "807251011",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269650",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.